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MAPLE RIDGE ASSISTANT LIVING
NPI 1891910881
Assisted Living Facility in Oskaloosa, IA

Active since April 16, 2007CLIA 16D1031851 · Waiver
2102 SOUTH MARKET STREET, OSKALOOSA, IA 52577(641) 672-1090(641) 672-1116 Get Directions Write a Review

NPPES record last updated: November 10, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Maple Ridge Assistant Living NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAPLE RIDGE ASSISTANT LIVING (NPI 1891910881) is a healthcare organization registered as an assisted living facility in Oskaloosa, Iowa and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through October 11, 2026 and lists Mike Tryon, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1891910881
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameHOMESTEAD OF OSKALOOSA OPERATIONS LLC
Location Address2102 SOUTH MARKET STREETOskaloosa, IA 52577
Mailing Address3715 Sw 29th StreetTopeka, KS 66614 · (785) 272-1535 · Fax (785) 272-1480
Phone(641) 672-1090
Fax(641) 672-1116
Organization SubpartNo
Authorized OfficialMike TryonChief Financial Officer · (785) 228-7913
Enumeration DateApril 16, 2007
Last NPPES UpdateNovember 10, 2011
✔ NPI 1891910881 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in IA · S0186
Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

2102 SOUTH MARKET STREET, Oskaloosa, IA 52577
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Other Names 1

Doing Business AsMaple Ridge Assistant Living

Other Identifiers 1

Medicaid0428839IA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 16D1031851

Homestead Of Oskaloosa · Oskaloosa, IA
Active · expires Oct 11, 2026
CLIA Number16D1031851
Laboratory TypeOther
Certificate Effective DateOctober 12, 2024
Certificate Expiration DateOctober 11, 2026
Laboratory DirectorCandice D. Fuller
Laboratory Phone(641) 672-1090
Laboratory LocationHomestead Of Oskaloosa2102 South Market Street, Oskaloosa, IA 52577
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions

What is HOMESTEAD OF OSKALOOSA OPERATIONS LLC's NPI number?

The NPI number assigned to this healthcare provider is 1891910881, enumerated as an "organization" on April 16, 2007.

Where is the provider located?

The provider is located at 2102 SOUTH MARKET STREET OSKALOOSA, IA 52577 and the phone number is (641) 672-1090.

What is the provider's specialty?

Assisted Living Facility with taxonomy code 310400000X.

What insurance does HOMESTEAD OF OSKALOOSA OPERATIONS LLC accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.